$3,660.73
Use 55875 for needles or catheters placed for interstitial radioactive treatment. Code 55874 concerns transperineal placement of biodegradable material, such as a prostate spacer.
On this page
CMS RVU26D · Effective 2026-10-01
55875 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$682.70
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urology surgery
About 55875: Transperineal prostate brachytherapy needle placement
Reports transperineal placement of needles or catheters in the prostate to support interstitial radiation treatment, commonly for localized prostate cancer.
A urologist places needles or catheters through the perineum into the prostate so radioactive material can be used for interstitial treatment. A common setting is an operating room or outpatient surgical facility for prostate brachytherapy. The urologist may perform the placement with a radiation oncologist involved in the treatment plan; the code allows placement with or without cystoscopy. This is the placement service, not the radiation source application itself.
Select the code when the operative record supports transperineal prostate needle or catheter placement for interstitial radioelement treatment. Document the treatment purpose and the placement performed; do not substitute prostate marker placement or biodegradable spacer placement. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 55875
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.12 · 64%
- Practice expense (office) RVU6.05 · 29%
- Malpractice RVU1.42 · 7%
5.2K
Medicare services in 2024 · #1841 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
55875 compared with similar codes
Office rates for Delaware, from the same CMS release.
$149.89
Use 55876 for prostate radiotherapy marker or device placement. Use 55875 when needles or catheters are placed to support interstitial radioelement treatment.
$5,625.72
Code 55873 describes prostate cryoablation, not placement for interstitial radiation treatment.
No office rate
Code 55866 describes laparoscopic radical prostatectomy. It represents surgical removal of the prostate rather than brachytherapy access placement.
The same code, a different location
How does Delaware compare?
55875 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 55875
Office
Unavailable
Facility
$641.88
No comparable office rate is available.
Arkansas
Arkansas · 55875
Office
Unavailable
Facility
$636.23
No comparable office rate is available.
Arizona
Arizona · 55875
Office
Unavailable
Facility
$674.63
No comparable office rate is available.
Bakersfield
California · 55875
Office
Unavailable
Facility
$696.91
No comparable office rate is available.
Chico
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
El Centro
California · 55875
Office
Unavailable
Facility
$692.80
No comparable office rate is available.
Fresno
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Hanford-Corcoran
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Madera
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Merced
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Modesto
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Napa
California · 55875
Office
Unavailable
Facility
$756.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 55875
Office
Unavailable
Facility
$718.89
No comparable office rate is available.
Redding
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Rest Of California
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 55875
Office
Unavailable
Facility
$708.04
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 55875
Office
Unavailable
Facility
$714.43
No comparable office rate is available.
Salinas
California · 55875
Office
Unavailable
Facility
$711.43
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 55875
Office
Unavailable
Facility
$718.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 55875
Office
Unavailable
Facility
$786.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 55875
Office
Unavailable
Facility
$784.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 55875
Office
Unavailable
Facility
$803.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 55875
Office
Unavailable
Facility
$796.65
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 55875
Office
Unavailable
Facility
$701.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 55875
Office
Unavailable
Facility
$718.37
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 55875
Office
Unavailable
Facility
$711.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 55875
Office
Unavailable
Facility
$724.94
No comparable office rate is available.
Stockton
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Vallejo
California · 55875
Office
Unavailable
Facility
$753.93
No comparable office rate is available.
Visalia
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Yuba City
California · 55875
Office
Unavailable
Facility
$692.57
No comparable office rate is available.
Colorado
Colorado · 55875
Office
Unavailable
Facility
$695.53
No comparable office rate is available.
Connecticut
Connecticut · 55875
Office
Unavailable
Facility
$722.01
No comparable office rate is available.
Fort Lauderdale
Florida · 55875
Office
Unavailable
Facility
$728.67
No comparable office rate is available.
Rest Of Florida
Florida · 55875
Office
Unavailable
Facility
$702.69
No comparable office rate is available.
Atlanta
Georgia · 55875
Office
Unavailable
Facility
$701.81
No comparable office rate is available.
Rest Of Georgia
Georgia · 55875
Office
Unavailable
Facility
$675.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 55875
Office
Unavailable
Facility
$695.44
No comparable office rate is available.
Iowa
Iowa · 55875
Office
Unavailable
Facility
$641.95
No comparable office rate is available.
Idaho
Idaho · 55875
Office
Unavailable
Facility
$646.56
No comparable office rate is available.
East St. Louis
Illinois · 55875
Office
Unavailable
Facility
$719.65
No comparable office rate is available.
Rest Of Illinois
Illinois · 55875
Office
Unavailable
Facility
$696.85
No comparable office rate is available.
Suburban Chicago
Illinois · 55875
Office
Unavailable
Facility
$732.86
No comparable office rate is available.
Indiana
Indiana · 55875
Office
Unavailable
Facility
$648.59
No comparable office rate is available.
Kansas
Kansas · 55875
Office
Unavailable
Facility
$644.80
No comparable office rate is available.
Kentucky
Kentucky · 55875
Office
Unavailable
Facility
$661.26
No comparable office rate is available.
New Orleans
Louisiana · 55875
Office
Unavailable
Facility
$682.25
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 55875
Office
Unavailable
Facility
$662.49
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 55875
Office
Unavailable
Facility
$739.68
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 55875
Office
Unavailable
Facility
$695.82
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 55875
Office
Unavailable
Facility
$720.73
No comparable office rate is available.
Rest Of Maryland
Maryland · 55875
Office
Unavailable
Facility
$690.64
No comparable office rate is available.
Rest Of Maine
Maine · 55875
Office
Unavailable
Facility
$653.63
No comparable office rate is available.
Southern Maine
Maine · 55875
Office
Unavailable
Facility
$668.40
No comparable office rate is available.
Detroit
Michigan · 55875
Office
Unavailable
Facility
$713.19
No comparable office rate is available.
Rest Of Michigan
Michigan · 55875
Office
Unavailable
Facility
$676.26
No comparable office rate is available.
Minnesota
Minnesota · 55875
Office
Unavailable
Facility
$660.19
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 55875
Office
Unavailable
Facility
$674.31
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 55875
Office
Unavailable
Facility
$678.12
No comparable office rate is available.
Rest Of Missouri
Missouri · 55875
Office
Unavailable
Facility
$658.60
No comparable office rate is available.
Mississippi
Mississippi · 55875
Office
Unavailable
Facility
$647.26
No comparable office rate is available.
Montana**
Montana · 55875
Office
Unavailable
Facility
$687.63
No comparable office rate is available.
North Carolina
North Carolina · 55875
Office
Unavailable
Facility
$657.06
No comparable office rate is available.
North Dakota**
North Dakota · 55875
Office
Unavailable
Facility
$659.55
No comparable office rate is available.
Nebraska
Nebraska · 55875
Office
Unavailable
Facility
$642.66
No comparable office rate is available.
New Hampshire
New Hampshire · 55875
Office
Unavailable
Facility
$690.08
No comparable office rate is available.
Northern Nj
New Jersey · 55875
Office
Unavailable
Facility
$750.89
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 55875
Office
Unavailable
Facility
$728.44
No comparable office rate is available.
New Mexico
New Mexico · 55875
Office
Unavailable
Facility
$680.49
No comparable office rate is available.
Nevada**
Nevada · 55875
Office
Unavailable
Facility
$680.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 55875
Office
Unavailable
Facility
$794.61
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 55875
Office
Unavailable
Facility
$736.60
No comparable office rate is available.
Queens
New York · 55875
Office
Unavailable
Facility
$773.51
No comparable office rate is available.
Rest Of New York
New York · 55875
Office
Unavailable
Facility
$663.53
No comparable office rate is available.
Ohio
Ohio · 55875
Office
Unavailable
Facility
$670.52
No comparable office rate is available.
Oklahoma
Oklahoma · 55875
Office
Unavailable
Facility
$655.53
No comparable office rate is available.
Portland
Oregon · 55875
Office
Unavailable
Facility
$705.02
No comparable office rate is available.
Rest Of Oregon
Oregon · 55875
Office
Unavailable
Facility
$672.83
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 55875
Office
Unavailable
Facility
$713.05
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 55875
Office
Unavailable
Facility
$668.55
No comparable office rate is available.
Puerto Rico
Puerto Rico · 55875
Office
Unavailable
Facility
$689.24
No comparable office rate is available.
Rhode Island
Rhode Island · 55875
Office
Unavailable
Facility
$697.60
No comparable office rate is available.
South Carolina
South Carolina · 55875
Office
Unavailable
Facility
$665.25
No comparable office rate is available.
South Dakota**
South Dakota · 55875
Office
Unavailable
Facility
$656.23
No comparable office rate is available.
Tennessee
Tennessee · 55875
Office
Unavailable
Facility
$647.38
No comparable office rate is available.
Austin
Texas · 55875
Office
Unavailable
Facility
$694.91
No comparable office rate is available.
Beaumont
Texas · 55875
Office
Unavailable
Facility
$666.17
No comparable office rate is available.
Brazoria
Texas · 55875
Office
Unavailable
Facility
$678.98
No comparable office rate is available.
Dallas
Texas · 55875
Office
Unavailable
Facility
$684.13
No comparable office rate is available.
Fort Worth
Texas · 55875
Office
Unavailable
Facility
$682.72
No comparable office rate is available.
Galveston
Texas · 55875
Office
Unavailable
Facility
$681.66
No comparable office rate is available.
Houston
Texas · 55875
Office
Unavailable
Facility
$707.65
No comparable office rate is available.
Rest Of Texas
Texas · 55875
Office
Unavailable
Facility
$672.82
No comparable office rate is available.
Utah
Utah · 55875
Office
Unavailable
Facility
$670.76
No comparable office rate is available.
Virginia
Virginia · 55875
Office
Unavailable
Facility
$670.35
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 55875
Office
Unavailable
Facility
$689.24
No comparable office rate is available.
Vermont
Vermont · 55875
Office
Unavailable
Facility
$662.27
No comparable office rate is available.
Rest Of Washington
Washington · 55875
Office
Unavailable
Facility
$692.80
No comparable office rate is available.
Seattle (King Cnty)
Washington · 55875
Office
Unavailable
Facility
$746.83
No comparable office rate is available.
Wisconsin
Wisconsin · 55875
Office
Unavailable
Facility
$646.42
No comparable office rate is available.
West Virginia
West Virginia · 55875
Office
Unavailable
Facility
$681.69
No comparable office rate is available.
Wyoming**
Wyoming · 55875
Office
Unavailable
Facility
$675.39
No comparable office rate is available.
See how rates vary across the country
55875 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 55875 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$750.97
$682.70 × 110% = $750.97
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 55875 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,393
- Code
- 55875
- Physician work
- 13.12
- Practice expense
- 6.05
- Malpractice
- 1.42
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.12 | × 1.005 | 13.1856 |
| Practice expense | 6.05 | × 0.988 | 5.9774 |
| Malpractice | 1.42 | × 0.899 | 1.2766 |
| Total RVUs | 20.4396 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$682.70
Open 55875 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.12 | 1.005 |
| Practice expense | 6.05 | 0.988 |
| Malpractice | 1.42 | 0.899 |
(13.12 × 1.005 + 6.05 × 0.988 + 1.42 × 0.899) × $33.4009 = $682.70
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
55875 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $682.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $682.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $682.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $682.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $762.39 | RVU25D |
| 2025-07-01 | Not available in this setting | $762.39 | RVU25C |
| 2025-04-01 | Not available in this setting | $762.39 | RVU25B |
| 2025-01-01 | Not available in this setting | $762.39 | RVU25A |
55875 billing questions
When should I report 55875 rather than 55876?
Report 55875 for transperineal needle or catheter placement to support interstitial radioactive treatment. Code 55876 describes prostate placement of radiotherapy markers or a device, not brachytherapy needle placement.
Is radioactive source application included in 55875?
55875 represents the prostate needle or catheter placement. Radiation source application, such as the service represented by 77778 when applicable, is a separate treatment service.
Can modifier 50 be used for placement on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50 to report bilateral placement.
What global period applies?
This is major surgery with a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
How is 55875 affected when other procedures occur in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment requires medical-necessity documentation, and co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,39055870,,Electroejaculation,A,,2.52,2.70,,0.97,,0.33,5.55,3.82,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39155873,,Cryoablate prostate,A,,13.26,155.45,,5.66,,1.69,170.40,20.61,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39255874,,Tprnl plmt biodegrdabl matrl,A,,2.95,107.63,,0.99,,0.33,110.91,4.27,0,000,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39355875,,Transperi needle place pros,A,,13.12,6.05,NA,6.05,,1.42,20.59,20.59,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39455876,,Place rt device/marker pros,A,,1.69,2.65,,0.84,,0.19,4.53,2.72,0,000,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39555877,,Abltj ire prst8 1+ tum perq,A,,13.50,4.99,NA,4.99,,1.61,20.10,20.10,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39655880,,Abltj mal prst8 tiss hifu,A,,17.29,6.83,NA,6.83,,2.21,26.33,26.33,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503